Healthcare Provider Details

I. General information

NPI: 1568366037
Provider Name (Legal Business Name): UNITED IN THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1708 EXPOSITION BLVD
LOS ANGELES CA
90018-4454
US

IV. Provider business mailing address

1708 EXPOSITION BLVD
LOS ANGELES CA
90018-4454
US

V. Phone/Fax

Practice location:
  • Phone: 323-359-3759
  • Fax:
Mailing address:
  • Phone: 323-359-3759
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: THEODORE JUNIOR BROWN
Title or Position: PRESIDENT
Credential: LCSW
Phone: 323-359-3759